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CCCP Membership Form

Welcome to the Canadian College of Clinical Pharmacy (CCCP).

CCCP exists to advance human health and quality of life by helping pharmacy practitioners, educators and researchers to expand, support and enhance direct patient care practice. We are a chapter of the American College of Clinical Pharmacy (ACCP). We have received your membership application form.

The CCCP website can be used to keep obtain information on the annual general meetings, view newsletters, our upcoming webinar series and employment opportunities.

Please mail your cheque for membership to:

Natalie Crown 38 Wortley Road, London, ON N6C 3S5

Once we have received your membership fee payment, we will send you information on how to access the member only section of the website.
Thank you for your support of CCCP. Should you have an comments or questions, please feel free to contact one of the CCCP executive members using the contact information listed on our website.

By submitting this form, you give permission to CCCP to post your contact information and practice interests in the members only section of the CCCP website for the purpose of networking with fellow clinicians.

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Name *
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Are you a member of ACCP?
ACCP #
Education
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Practice Locale
Practice Interests
Other Practice Interests
Membership Option
Name of Referrer (if applicable)